| 不同医疗资源空间配置及影响因素的地理探测——以贵阳主城区为例 |
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| 引用本文： | 李薇,杜芳娟,阮欧.不同医疗资源空间配置及影响因素的地理探测——以贵阳主城区为例[J].测绘通报,2022,0(12):116. |
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| 作者姓名： | 李薇 杜芳娟 阮欧 |
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| 作者单位： | 贵州师范大学地理与环境科学学院(喀斯特研究院), 贵州 贵阳 550001 |
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| 基金项目： | 国家自然科学基金地区科学基金项目（41861029）；贵州省科技支撑计划项目（黔科合支撑[2022]一般254）；贵州师范大学2018学术新苗培养及创新探索专项（黔科合平台人才（2018）5769-21） |
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| 摘 要： | 医疗资源空间配置关系居民的健康福祉，以往研究更多关注医院，忽略了药店、诊所等社会卫生资源的系统配置。本文以贵阳市主城区为例，实地调查各级医疗机构、民间医疗、药店等不同医药类型体系，运用核密度、地理探测器等空间分析工具，探究引起城市医疗资源空间配置差异性的因素。结果表明，贵阳市主城区医药卫生服务空间布局呈内密外疏的特点，形成整体上“一心一带多点”的空间结构。其中，“一心一带”呈现了公立医疗资源，尤其是不同等级（三级、二级）的公立医院在空间分布上的等级性；“多点”则体现在社区医院、诊所及药店在空间上的均衡性。医疗资源空间配置整体受居住用地、道路密度、人口密度等因素影响明显，但不同类型医疗资源的影响因素存在差异。
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| 关 键 词： | 地理探测 医疗资源 空间配置 影响因素 贵阳主城区 |
| 收稿时间： | 2022-01-20 |
Geographical detection of the allocation and influencing factors of different healthcare resources: take the main city of Guiyang as an example |
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| LI Wei,DU Fangjuan,RUAN Ou.Geographical detection of the allocation and influencing factors of different healthcare resources: take the main city of Guiyang as an example[J].Bulletin of Surveying and Mapping,2022,0(12):116. |
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| Authors: | LI Wei DU Fangjuan RUAN Ou |
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| Institution: | School of Geography and Environmental Sciences (School of Karst Science), Guizhou Normal University, Guiyang 550001, China |
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| Abstract: | The healthcare is greatly related to the health and well-being of the residents, but previous studies have more often focused on hospitals, ignoring the other health resources allocation and spatial correlation, such as pharmacies and clinics. This paper takes the main city of Guiyang as an example, field surveys to investigate different medicine systems such as different level public hospitals, private clinics and pharmacies, and researches the variability and factors in the spatial distribution of urban healthcare by using spatial analysis methods, such as kernel density and geographic detector.The results show that, the spatial allocation of healthcare in the main city of Guiyang is characterized by dense inside and sparse outside, forming a spatial structure of "one center, one belt, and multiple points". "One center, one belt" means public medical resources hierarchical agglomeration patterns, especial the different level public hospitals, such as the secondary and tertiary medical institutions, and ‘multiple points’ means the community hospitals, the private clinics and the pharmacies homogeneous distribution patterns. The spatial allocation of health resources is significantly influenced by factors such as residential land use, road density and population density, but there are differences in the influencing factors for different types of health resources. |
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| Keywords: | geographic detector healthcare resources allocation influencing factors main city of Guiyang |
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